Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Nm imaging bone/joint whole body CPT 78306 | $452.25 | $3,015.00 | $222.25 – $850.31 | 15 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $430.65 | $2,871.00 | $267.82 – $850.31 | 15 |
| Nm imaging gastric emptying study CPT 78264 | $452.25 | $3,015.00 | $219.31 – $850.31 | 15 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $452.25 | $3,015.00 | $219.31 – $1,157.32 | 15 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $452.25 | $3,015.00 | $264.02 – $1,154.89 | 15 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $452.25 | $3,015.00 | $224.25 – $1,154.89 | 15 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $452.25 | $3,015.00 | $284.71 – $1,157.32 | 15 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $452.25 | $3,015.00 | $209.65 – $850.31 | 15 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $452.25 | $3,015.00 | $91.72 – $496.30 | 15 |
| Noninv pace analysis CPT 93724 | $513.90 | $3,426.00 | $31.02 – $653.28 | 15 |
| Npm1 gene CPT 81310 | $317.25 | $2,115.00 | $167.97 – $537.41 | 15 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,930.25 | $19,535.00 | $1,434.39 – $3,803.17 | 15 |
| Ntrk1 translocation analysis CPT 81191 | $265.95 | $1,773.00 | $167.97 – $451.94 | 15 |
| Ntrk2 translocation analysis CPT 81192 | $265.95 | $1,773.00 | $167.97 – $451.94 | 15 |
| Ntrk3 translocation analysis CPT 81193 | $265.95 | $1,773.00 | $167.97 – $451.94 | 15 |
| Ntrk translocation analysis CPT 81194 | $665.10 | $4,434.00 | $374.44 – $1,129.85 | 15 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $696.00 | $4,640.00 | $456.80 – $995.15 | 6 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $580.05 | $3,867.00 | $456.80 – $995.15 | 6 |
| Nuclear rx intra-arterial CPT 79445 | $452.25 | $3,015.00 | $92.20 – $496.30 | 15 |
| Nuclear rx IV admin CPT 79101 | $452.25 | $3,015.00 | $91.72 – $496.30 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $452.25 | $3,015.00 | $340.93 – $2,753.71 | 15 |
| Nudt15 gene common variants CPT 81306 | $252.30 | $1,682.00 | $167.97 – $635.16 | 15 |
| Observation direct referral from physician office for admission HCPCS G0379 | $138.00 | $920.00 | $49.00 – $49.00 | 1 |
| Observation per hour HCPCS G0378 | $11.10 | $74.00 | $49.00 – $49.00 | 1 |
| Obstetrics panel CPT 80055 | $71.85 | $479.00 | $9.51 – $104.23 | 15 |
| Obtaining screen pap smear HCPCS Q0091 | $5.55 | $37.00 | $8.24 – $61.52 | 15 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $126.15 | $841.00 | $56.63 – $222.37 | 15 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $164.58 | $1,097.19 | $1.07 – $408.15 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $7,070.42 | $47,136.10 | $74.64 – $6,096.19 | 15 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | $9,230.85 | $61,539.00 | $2,461.97 – $15,680.74 | 15 |
| Oncology tum unknown origin CPT 81540 | $2,530.20 | $16,868.00 | $2,461.97 – $8,175.00 | 15 |
| Oncoprotein her-2/neu CPT 83950 | $69.00 | $460.00 | $29.45 – $140.41 | 15 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $4,620.00 | $30,800.00 | $2,461.97 – $7,848.00 | 15 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $2.93 | $19.50 | $1.44 – $4.61 | 2 |
| Opioids & opiate analogs 3/4 CPT 80363 | $29.55 | $197.00 | $14.53 – $15.11 | 5 |
| Organic acids total quant ea spec CPT 83918 | $27.75 | $185.00 | $12.75 – $51.45 | 15 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $38.15 | $254.33 | $3.38 – $19.69 | 2 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $59.55 | $397.00 | $315.21 – $722.82 | 14 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $217.50 | $1,450.00 | $545.90 – $1,584.25 | 14 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $270.45 | $1,803.00 | $1,399.76 – $3,227.29 | 14 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $163.50 | $1,090.00 | $766.28 – $1,811.63 | 14 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $56.10 | $374.00 | $295.66 – $678.70 | 14 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $66.30 | $442.00 | $350.66 – $804.26 | 14 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $56.10 | $374.00 | $295.66 – $678.70 | 14 |
| Orthopantogram CPT 70355 | $65.85 | $439.00 | $16.04 – $185.10 | 15 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $68.85 | $459.00 | $408.22 – $912.06 | 14 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $243.75 | $1,625.00 | $1,082.62 – $2,596.59 | 14 |
| Osmolality blood CPT 83930 | $11.70 | $78.00 | $5.72 – $14.41 | 15 |
| Osmolality urine CPT 83935 | $12.00 | $80.00 | $5.72 – $14.87 | 15 |
| Ot evaluation high complexity patient/family CPT 97167 | $79.20 | $528.00 | $46.00 – $324.81 | 15 |
| Ot evaluation low complexity patient/family CPT 97165 | $71.70 | $478.00 | $46.00 – $324.81 | 15 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $75.45 | $503.00 | $46.00 – $324.81 | 15 |
| Oth resp proc, group HCPCS G0239 | $79.05 | $527.00 | $11.49 – $79.45 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $79.05 | $527.00 | $14.83 – $61.52 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $46.20 | $308.00 | $44.99 – $107.76 | 15 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $36.60 | $244.00 | $44.99 – $99.19 | 15 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $28.95 | $193.00 | $27.40 – $59.73 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $45.90 | $306.00 | $46.00 – $324.81 | 15 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $33.60 | $224.00 | $34.63 – $75.49 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $22.65 | $151.00 | $20.96 – $45.69 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $23.70 | $158.00 | $22.19 – $48.37 | 15 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $30.90 | $206.00 | $28.73 – $62.63 | 15 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $32.25 | $215.00 | $32.37 – $70.57 | 15 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $33.60 | $224.00 | $32.01 – $69.78 | 15 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $204.95 | $1,366.33 | $0.14 – $9.06 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.62 | $50.78 | $1.23 – $2.52 | 2 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $124.98 | $833.17 | $0.25 – $0.25 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,754.38 | $11,695.85 | $8.18 – $1,581.92 | 15 |
| Palb2 gene full gene seq CPT 81307 | $222.30 | $1,482.00 | $254.59 – $1,474.77 | 15 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $88.99 | $593.27 | $16.97 – $178.98 | 2 |
| Parathormone (pth) intact CPT 83970 | $72.30 | $482.00 | $36.49 – $89.99 | 15 |
| Parathyrd planar w/spect&ct CPT 78072 | $452.25 | $3,015.00 | $289.84 – $1,154.89 | 15 |
| Parathyroid planar imaging CPT 78070 | $452.25 | $3,015.00 | $130.12 – $1,157.32 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $452.25 | $3,015.00 | $289.84 – $850.31 | 15 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $39.15 | $261.00 | $22.64 – $426.75 | 15 |
| Partial removal finger bone CPT 26236 | $692.25 | $4,615.00 | $1,568.89 – $3,420.19 | 15 |
| Partial removal foot fascia CPT 28060 | $1,372.80 | $9,152.00 | $2,779.59 – $6,959.52 | 15 |
| Passy muir valve metal trach HCPCS L8501 | $682.50 | $4,549.97 | $147.88 – $454.10 | 14 |
| Path clin consltj sf 5-20 CPT 80503 | $22.20 | $148.00 | $33.47 – $121.82 | 15 |
| Pcv21 vaccine im CPT 90684 | $415.01 | $2,766.72 | $156.38 – $595.50 | 6 |
| Ped crit care transport CPT 99466 | $32.70 | $218.00 | $218.00 – $218.00 | 2 |
| Ped crit care transport addl CPT 99467 | $16.50 | $110.00 | $110.00 – $110.00 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,105.68 | $47,371.18 | $55.13 – $2,213.69 | 15 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $4,345.56 | $28,970.43 | $79.60 – $5,469.75 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,622.35 | $30,815.67 | $161.99 – $2,213.69 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,622.35 | $30,815.67 | $98.87 – $1,581.92 | 15 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $648.00 | $4,320.00 | $171.14 – $407.98 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $617.10 | $4,114.00 | $171.14 – $407.98 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $587.70 | $3,918.00 | $102.00 – $222.37 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $668.55 | $4,457.00 | $340.39 – $742.05 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $636.75 | $4,245.00 | $340.39 – $742.05 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $604.95 | $4,033.00 | $232.80 – $507.50 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $101.55 | $677.00 | $86.68 – $222.37 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $101.55 | $677.00 | $49.23 – $222.37 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $5,803.20 | $38,688.02 | $41.13 – $9,692.68 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $1,804.43 | $12,029.53 | $3.59 – $1,581.92 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $184.92 | $1,232.78 | $4.07 – $135.74 | 15 |
| Penile injection CPT 54235 | $1,412.85 | $9,419.00 | $69.64 – $531.43 | 15 |
| Perc cryo ablate renal tum CPT 50593 | $1,502.85 | $10,019.00 | $427.00 – $22,609.58 | 15 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,235.40 | $28,236.00 | $10,869.55 – $11,304.34 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.